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Postnatal Depression

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Psychopathology in Women
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Abstract

Postnatal depression is the most common psychopathological disorder during the postnatal period. It is a mood and anxiety disorder and affects around 15 % of mothers. It involves the development of a major depressive episode whose onset can occur during pregnancy or within 4 weeks of giving birth, and depressive symptoms must be present for at least 2 weeks, but in clinical practice it is considered that it can also have an onset from pregnancy to 3–6 months postpartum, although it is more common during the postpartum period.

There are still many cases of postnatal depression that are not detected in clinical practice; in spite of that, it has deleterious consequences for the mother and for the baby and can delay the physical, social, and cognitive development of the baby.

Social, psychological, and biological factors can contribute to the development of postnatal depression. It is important to educate both professionals and mothers about the risk factors for early detection to prevent depression from developing.

The treatment of depressed women in the postpartum period may be different according to the characteristics of every clinical case; psychotherapy or pharmacotherapy may be used alone or in combination. The therapy may be beneficial for the symptoms and drug treatment is a good option in cases where postpartum depression is considered moderate or severe and in which therapy was not effective.

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References

  1. Burt VK, Stein K. Epidemiology of depression throughout the female life cycle. J Clin Psychiatry. 2002;63 Suppl 7:9–15.

    PubMed  Google Scholar 

  2. Gaynes BN, Gavin N, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G, et al. Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evid Rep Technol Assess (Summ) 2005;(119):1–8.

    Google Scholar 

  3. MacArthur. Initiative on depression and primary care. Patient health questionnaire (PHQ-9). http://depressionprimarycare.org/clinicians/toolkits/materials/forms/phq9; 2010 April 10.

  4. Bonari L, Pinto N, Ahn E, Einarson A, Steiner M, Koren G. Perinatal risks of untreated depression during pregnancy. Can J Psychiatry. 2004;49(11):726–35.

    PubMed  Google Scholar 

  5. Kendell RE, McGuire RJ, Connor Y, Cox JL. Mood changes in the first three weeks after childbirth. J Affect Disord. 1981;3(4):317–26.

    Article  PubMed  CAS  Google Scholar 

  6. Sit D, Rothschild AJ, Wisner KL. A review of postpartum psychosis. J Womens Health (Larchmt). 2006;15(4):352–68.

    Article  Google Scholar 

  7. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed; 2013.

    Google Scholar 

  8. Wisner KL, Parry BL, Piontek CM. Clinical practice. Postpartum depression. N Engl J Med. 2002;347(3):194–9.

    Article  PubMed  Google Scholar 

  9. Not author listed. The management of postnatal depression. Drug Ther Bull 2000;38(5):33–7.

    Google Scholar 

  10. Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol. 2005;106(5 Pt 1):1071–83.

    Article  PubMed  Google Scholar 

  11. Halbreich U, Karkun S. Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. J Affect Disord. 2006;91(2–3):97–111.

    Article  PubMed  Google Scholar 

  12. Affonso DD, De AK, Horowitz JA, Mayberry LJ. An international study exploring levels of postpartum depressive symptomatology. J Psychosom Res. 2000;49(3):207–16.

    Article  PubMed  CAS  Google Scholar 

  13. Brugha TS, Morrell CJ, Slade P, Walters SJ. Universal prevention of depression in women postnatally: cluster randomized trial evidence in primary care. Psychol Med. 2011;41(4):739–48.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  14. Dennis CL. Preventing and treating postnatal depression. BMJ. 2009;338:a2975.

    Article  PubMed  Google Scholar 

  15. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782–6.

    Article  PubMed  CAS  Google Scholar 

  16. Buist AE, Barnett BE, Milgrom J, Pope S, Condon JT, Ellwood DA, et al. To screen or not to screen—that is the question in perinatal depression. Med J Aust. 2002;177(Suppl):S101–5.

    PubMed  Google Scholar 

  17. Lanes A, Kuk JL, Tamim H. Prevalence and characteristics of postpartum depression symptomatology among Canadian women: a cross-sectional study. BMC Public Health. 2011;11:302.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Georgiopoulos AM, Bryan TL, Wollan P, Yawn BP. Routine screening for postpartum depression. J Fam Pract. 2001;50(2):117–22.

    PubMed  CAS  Google Scholar 

  19. Dorr HG, Heller A, Versmold HT, Sippell WG, Herrmann M, Bidlingmaier F, et al. Longitudinal study of progestins, mineralocorticoids, and glucocorticoids throughout human pregnancy. J Clin Endocrinol Metab. 1989;68(5):863–8.

    Article  PubMed  CAS  Google Scholar 

  20. Stalla GK, Bost H, Stalla J, Kaliebe T, Dorr HG, Pfeiffer D, et al. Human corticotropin-releasing hormone during pregnancy. Gynecol Endocrinol. 1989;3(1):1–10.

    Article  PubMed  CAS  Google Scholar 

  21. Bloch M, Daly RC, Rubinow DR. Endocrine factors in the etiology of postpartum depression. Compr Psychiatry. 2003;44(3):234–46.

    Article  PubMed  Google Scholar 

  22. Skalkidou A, Hellgren C, Comasco E, Sylven S, Sundstrom PI. Biological aspects of postpartum depression. Womens Health (Lond Engl). 2012;8(6):659–72.

    Article  CAS  Google Scholar 

  23. Bloch M, Schmidt PJ, Danaceau M, Murphy J, Nieman L, Rubinow DR. Effects of gonadal steroids in women with a history of postpartum depression. Am J Psychiatry. 2000;157(6):924–30.

    Article  PubMed  CAS  Google Scholar 

  24. Ahokas A, Kaukoranta J, Wahlbeck K, Aito M. Estrogen deficiency in severe postpartum depression: successful treatment with sublingual physiologic 17beta-estradiol: a preliminary study. J Clin Psychiatry. 2001;62(5):332–6.

    Article  PubMed  CAS  Google Scholar 

  25. Gregoire AJ, Kumar R, Everitt B, Henderson AF, Studd JW. Transdermal oestrogen for treatment of severe postnatal depression. Lancet. 1996;347(9006):930–3.

    Article  PubMed  CAS  Google Scholar 

  26. Klier CM, Muzik M, Dervic K, Mossaheb N, Benesch T, Ulm B, et al. The role of estrogen and progesterone in depression after birth. J Psychiatr Res. 2007;41(3–4):273–9.

    Article  PubMed  Google Scholar 

  27. Harris B, Lovett L, Newcombe RG, Read GF, Walker R, Riad-Fahmy D. Maternity blues and major endocrine changes: Cardiff puerperal mood and hormone study II. BMJ. 1994;308(6934):949–53.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  28. Nappi RE, Petraglia F, Luisi S, Polatti F, Farina C, Genazzani AR. Serum allopregnanolone in women with postpartum “blues”. Obstet Gynecol. 2001;97(1):77–80.

    Article  PubMed  CAS  Google Scholar 

  29. Harris B, Lovett L, Smith J, Read G, Walker R, Newcombe R. Cardiff puerperal mood and hormone study. III. Postnatal depression at 5 to 6 weeks postpartum, and its hormonal correlates across the peripartum period. Br J Psychiatry. 1996;168(6):739–44.

    Article  PubMed  CAS  Google Scholar 

  30. Bou-Saleh MT, Ghubash R, Karim L, Krymski M, Bhai I. Hormonal aspects of postpartum depression. Psychoneuroendocrinology. 1998;23(5):465–75.

    Article  Google Scholar 

  31. Lawrie TA, Hofmeyr GJ, De JM, Berk M, Paiker J, Viljoen E. A double-blind randomised placebo controlled trial of postnatal norethisterone enanthate: the effect on postnatal depression and serum hormones. Br J Obstet Gynaecol. 1998;105(10):1082–90.

    Article  PubMed  CAS  Google Scholar 

  32. Chrousos GP, Gold PW. The concepts of stress and stress system disorders. Overview of physical and behavioral homeostasis. JAMA. 1992;267(9):1244–52.

    Article  PubMed  CAS  Google Scholar 

  33. Kammerer M, Taylor A, Glover V. The HPA axis and perinatal depression: a hypothesis. Arch Womens Ment Health. 2006;9(4):187–96.

    Article  PubMed  CAS  Google Scholar 

  34. Jolley SN, Elmore S, Barnard KE, Carr DB. Dysregulation of the hypothalamic-pituitary-adrenal axis in postpartum depression. Biol Res Nurs. 2007;8(3):210–22.

    Article  PubMed  CAS  Google Scholar 

  35. Taylor A, Glover V, Marks M, Kammerer M. Diurnal pattern of cortisol output in postnatal depression. Psychoneuroendocrinology. 2009;34(8):1184–8.

    Article  PubMed  CAS  Google Scholar 

  36. Corwin EJ, Pajer K. The psychoneuroimmunology of postpartum depression. J Womens Health (Larchmt). 2008;17(9):1529–34.

    Article  Google Scholar 

  37. Maes M, Yirmyia R, Noraberg J, Brene S, Hibbeln J, Perini G, et al. The inflammatory and neurodegenerative (I&ND) hypothesis of depression: leads for future research and new drug developments in depression. Metab Brain Dis. 2009;24(1):27–53.

    Article  PubMed  CAS  Google Scholar 

  38. Raison CL, Capuron L, Miller AH. Cytokines sing the blues: inflammation and the pathogenesis of depression. Trends Immunol. 2006;27(1):24–31.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  39. Pter-Levy Y, Feldman M, Vakart A, Ebstein RP, Feldman R. Impact of maternal depression across the first 6 years of life on the child’s mental health, social engagement, and empathy: the moderating role of oxytocin. Am J Psychiatry. 2013;170(10):1161–8.

    Article  Google Scholar 

  40. Viero C, Shibuya I, Kitamura N, Verkhratsky A, Fujihara H, Katoh A, et al. Review: oxytocin: Crossing the bridge between basic science and pharmacotherapy. CNS Neurosci Ther. 2010;16(5):e138–56.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  41. Feldman R. Oxytocin and social affiliation in humans. Horm Behav. 2012;61(3):380–91.

    Article  PubMed  CAS  Google Scholar 

  42. Basraon S, Costantine MM. Mood disorders in pregnant women with thyroid dysfunction. Clin Obstet Gynecol. 2011;54(3):506–14.

    Article  PubMed  Google Scholar 

  43. Kuijpens JL, Vader HL, Drexhage HA, Wiersinga WM, van Son MJ, Pop VJ. Thyroid peroxidase antibodies during gestation are a marker for subsequent depression postpartum. Eur J Endocrinol. 2001;145(5):579–84.

    Article  PubMed  CAS  Google Scholar 

  44. De CF, Perelli F, Armando M, Vicari S. Selective serotonin reuptake inhibitors (SSRIs) for post-partum depression (PPD): a systematic review of randomized clinical trials. J Affect Disord. 2014;152–154:39–44.

    Google Scholar 

  45. Anderson G, Maes M. Postpartum depression: psychoneuroimmunological underpinnings and treatment. Neuropsychiatr Dis Treat. 2013;9:277–87.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  46. Pawlby S, Hay DF, Sharp D, Waters CS, O’Keane V. Antenatal depression predicts depression in adolescent offspring: prospective longitudinal community-based study. J Affect Disord. 2009;113(3):236–43.

    Article  PubMed  Google Scholar 

  47. Mehta D, Quast C, Fasching PA, Seifert A, Voigt F, Beckmann MW, et al. The 5-HTTLPR polymorphism modulates the influence on environmental stressors on peripartum depression symptoms. J Affect Disord. 2012;136(3):1192–7.

    Article  PubMed  CAS  Google Scholar 

  48. Mitchell C, Notterman D, Brooks-Gunn J, Hobcraft J, Garfinkel I, Jaeger K, et al. Role of mother’s genes and environment in postpartum depression. Proc Natl Acad Sci USA. 2011;108(20):8189–93.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  49. O’Hara MW, Swain AM. Rates and risk of postpartum depression—a meta-analysis. Int Rev Psychiatry. 1996;8:37–54.

    Article  Google Scholar 

  50. Beck CT. Predictors of postpartum depression: an update. Nurs Res. 2001;50(5):275–85.

    Article  PubMed  CAS  Google Scholar 

  51. Josefsson A, Angelsioo L, Berg G, Ekstrom CM, Gunnervik C, Nordin C, et al. Obstetric, somatic, and demographic risk factors for postpartum depressive symptoms. Obstet Gynecol. 2002;99(2):223–8.

    Article  PubMed  Google Scholar 

  52. Neter E, Collins NL, Lobel M, Dunkel-Schetter C. Psychosocial predictors of postpartum depressed mood in socioeconomically disadvantaged women. Womens Health. 1995;1(1):51–75.

    PubMed  CAS  Google Scholar 

  53. Johnstone SJ, Boyce PM, Hickey AR, Morris-Yatees AD, Harris MG. Obstetric risk factors for postnatal depression in urban and rural community samples. Aust N Z J Psychiatry. 2001;35(1):69–74.

    Article  PubMed  CAS  Google Scholar 

  54. Brugha TS, Sharp HM, Cooper SA, Weisender C, Britto D, Shinkwin R, et al. The Leicester 500 Project. Social support and the development of postnatal depressive symptoms, a prospective cohort survey. Psychol Med. 1998;28(1):63–79.

    Article  PubMed  CAS  Google Scholar 

  55. Lee DT, Yip AS, Leung TY, Chung TK. Identifying women at risk of postnatal depression: prospective longitudinal study. Hong Kong Med J. 2000;6(4):349–54.

    PubMed  CAS  Google Scholar 

  56. Kumar R, Robson KM. A prospective study of emotional disorders in childbearing women. Br J Psychiatry. 1984;144:35–47.

    Article  PubMed  CAS  Google Scholar 

  57. Nielsen FD, Videbech P, Hedegaard M, Dalby SJ, Secher NJ. Postpartum depression: identification of women at risk. BJOG. 2000;107(10):1210–7.

    Article  Google Scholar 

  58. Warner R, Appleby L, Whitton A, Faragher B. Demographic and obstetric risk factors for postnatal psychiatric morbidity. Br J Psychiatry. 1996;168(5):607–11.

    Article  PubMed  CAS  Google Scholar 

  59. Bartley M. Unemployment and ill health: understanding the relationship. J Epidemiol Community Health. 1994;48:333–7.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  60. Patel V, Araya R, de Lima M, Ludermir A, Todd C. Women, poverty and common mental disorders in four restructuring societies. Soc Sci Med. 1999;49(11):1461–71.

    Article  PubMed  CAS  Google Scholar 

  61. World Health Organization. The World Health Report 2001: determinants of mental and behavioural disorders. Web Site World Health Organization 2001.

    Google Scholar 

  62. Field T. Postpartum depression effects on early interactions, parenting, and safety practices: a review. Infant Behav Dev. 2010;33(1):1–6.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Hughes C, Roman G, Hart MJ, Ensor R. Does maternal depression predict young children’s executive function?—a 4-year longitudinal study. J Child Psychol Psychiatry. 2013;54(2):169–77.

    Article  PubMed  Google Scholar 

  64. Barker ED, Jaffee SR, Uher R, Maughan B. The contribution of prenatal and postnatal maternal anxiety and depression to child maladjustment. Depress Anxiety. 2011;28(8):696–702.

    Article  PubMed  Google Scholar 

  65. Feldman R, Eidelman AI. Biological and environmental initial conditions shape the trajectories of cognitive and social-emotional development across the first years of life. Dev Sci. 2009;12(1):194–200.

    Article  PubMed  Google Scholar 

  66. Cox AD, Puckering C, Pound A, Mills M. The impact of maternal depression in young children. J Child Psychol Psychiatry. 1987;28(6):917–28.

    Article  PubMed  CAS  Google Scholar 

  67. Hay DF, Pawlby S, Sharp D, Asten P, Mills A, Kumar R. Intellectual problems shown by 11-year-old children whose mothers had postnatal depression. J Child Psychol Psychiatry. 2001;42(7):871–89.

    Article  PubMed  CAS  Google Scholar 

  68. Rueda MR, Posner MI, Rothbart MK. The development of executive attention: contributions to the emergence of self-regulation. Dev Neuropsychol. 2005;28(2):573–94.

    Article  PubMed  Google Scholar 

  69. Farah MJ, Shera DM, Savage JH, Betancourt L, Giannetta JM, Brodsky NL, et al. Childhood poverty: specific associations with neurocognitive development. Brain Res. 2006;1110(1):166–74.

    Article  PubMed  CAS  Google Scholar 

  70. Duncan GJ, Brooks-Gunn J. Family poverty, welfare reform, and child development. Child Dev. 2000;71(1):188–96.

    Article  PubMed  CAS  Google Scholar 

  71. Noble KG, McCandliss BD, Farah MJ. Socioeconomic gradients predict individual differences in neurocognitive abilities. Dev Sci. 2007;10(4):464–80.

    Article  PubMed  Google Scholar 

  72. Conger RD, Donnellan MB. An interactionist perspective on the socioeconomic context of human development. Annu Rev Psychol. 2007;58:175–99.

    Article  PubMed  Google Scholar 

  73. Garber J, Cole DA. Intergenerational transmission of depression: a launch and grow model of change across adolescence. Dev Psychopathol. 2010;22(4):819–30.

    Article  PubMed  Google Scholar 

  74. Hammen C, Shih JH, Brennan PA. Intergenerational transmission of depression: test of an interpersonal stress model in a community sample. J Consult Clin Psychol. 2004;72(3):511–22.

    Article  PubMed  Google Scholar 

  75. Barker ED. The duration and timing of maternal depression as a moderator of the relationship between dependent interpersonal stress, contextual risk and early child dysregulation. Psychol Med. 2013;43(8):1587–96.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  76. Murray L, Kempton C, Woolgar M, Hooper R. Depressed mothers’ speech to their infants and its relation to infant gender and cognitive development. J Child Psychol Psychiatry. 1993;34(7):1083–101.

    Article  PubMed  CAS  Google Scholar 

  77. Hall PL, Wittkowski A. An exploration of negative thoughts as a normal phenomenon after childbirth. J Midwifery Womens Health. 2006;51(5):321–30.

    Article  PubMed  Google Scholar 

  78. Petch J, Halford WK. Psycho-education to enhance couples’ transition to parenthood. Clin Psychol Rev. 2008;28(7):1125–37.

    Article  PubMed  Google Scholar 

  79. Thompson RA. Early sociopersonality development. In: Damon WE, editor. Handbook of child psychology, Social, emotional and personality development, vol. 3. 5th ed. New York: Wiley; 1998. p. 25–104.

    Google Scholar 

  80. Grace SL, Evindar A, Stewart DE. The effect of postpartum depression on child cognitive development and behavior: a review and critical analysis of the literature. Arch Womens Ment Health. 2003;6(4):263–74.

    Article  PubMed  CAS  Google Scholar 

  81. Hay DF, Pawlby S, Angold A, Harold GT, Sharp D. Pathways to violence in the children of mothers who were depressed postpartum. Dev Psychol. 2003;39(6):1083–94.

    Article  PubMed  Google Scholar 

  82. Hay DF. Postpartum depression and cognitive development. In: Cooper P, Murray L, editors. Postpartum depression and child development. New York: Guilford; 1997. p. 85–110.

    Google Scholar 

  83. Tronick E, Reck C. Infants of depressed mothers. Harv Rev Psychiatry. 2009;17(2):147–56.

    Article  PubMed  Google Scholar 

  84. Murray L, Cooper P. Effects of postnatal depression on infant development. Arch Dis Child. 1997;77(2):99–101.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  85. Boyce P, Stubbs J, Todd A. The Edinburgh Postnatal Depression Scale: validation for an Australian sample. Aust N Z J Psychiatry. 1993;27(3):472–6.

    Article  PubMed  CAS  Google Scholar 

  86. Sichel DA, Cohen LS, Robertson LM, Ruttenberg A, Rosenbaum JF. Prophylactic estrogen in recurrent postpartum affective disorder. Biol Psychiatry. 1995;38(12):814–8.

    Article  PubMed  CAS  Google Scholar 

  87. Appleby L, Warner R, Whitton A, Faragher B. A controlled study of fluoxetine and cognitive-behavioural counselling in the treatment of postnatal depression. BMJ. 1997;314(7085):932–6.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  88. Stowe ZNCJLJNC, Casarella J, Landry J, Nemeroff CB. Sertraline in the treatment of women with postpartum major depression. Depression. 1995;3:49–55.

    Article  Google Scholar 

  89. Epperson CN, McDougle CJ, Ward-O’Brien D, Price LH. A controlled study of sertraline versus placebo in the treatment of postpartum depression: preliminary findings. Soc Neurosci. 1996;22:179. Ref Type: Abstract.

    Google Scholar 

  90. Stuart SOM, O’Hara MW. Treatment of postpartum depression with interpersonal psychotherapy [Letter]. Arch Gen Psychiatry. 1995;52:75–6.

    Article  PubMed  CAS  Google Scholar 

  91. Wisner KL, Perel JM, Findling RL. Antidepressant treatment during breast-feeding. Am J Psychiatry. 1996;153(9):1132–7.

    PubMed  CAS  Google Scholar 

  92. Epperson CN, Anderson GM, McDougle CJ. Sertraline and breast-feeding. N Engl J Med. 1997;336(16):1189–90.

    Article  PubMed  CAS  Google Scholar 

  93. Lester BM, Cucca J, Andreozzi L, Flanagan P, Oh W. Possible association between fluoxetine hydrochloride and colic in an infant. J Am Acad Child Adolesc Psychiatry. 1993;32(6):1253–5.

    Article  PubMed  CAS  Google Scholar 

  94. Spigset O, Carleborg L, Norstrom A, Sandlund M. Paroxetine level in breast milk. J Clin Psychiatry. 1996;57(1):39.

    PubMed  CAS  Google Scholar 

  95. Wisner KL, Perel JM, Findling RL, Hinnes RL. Nortriptyline and its hydroxymetabolites in breastfeeding mothers and newborns. Psychopharmacol Bull. 1997;33(2):249–51.

    PubMed  CAS  Google Scholar 

  96. Wright S, Dawling S, Ashford JJ. Excretion of fluvoxamine in breast milk. Br J Clin Pharmacol. 1991;31(2):209.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  97. American Academy of Pediatrics Work Group on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 1997;100:1035–9.

    Article  Google Scholar 

  98. WHO-UNFPA. The Millennium Development Goals Report 2012. https://www.unfpa.org/public/publications/pid/6090; 2013

  99. Marcé International Society. http://www.marcesociety.com/About-Marce.aspx; 2013. Ref Type: Internet Communication.

  100. Nott PN. Extent, timing and persistence of emotional disorders following childbirth. Br J Psychiatry. 1987;151:523–7.

    Article  PubMed  CAS  Google Scholar 

  101. Philipps LH, O’Hara MW. Prospective study of postpartum depression: 4 1/2-year follow-up of women and children. J Abnorm Psychol. 1991;100(2):151–5.

    Article  PubMed  CAS  Google Scholar 

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Ugarte, A., Fernández, M. (2015). Postnatal Depression. In: Sáenz-Herrero, M. (eds) Psychopathology in Women. Springer, Cham. https://doi.org/10.1007/978-3-319-05870-2_20

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